June 13, 2021

Download Ebook Free Combined Liver Kidney Transplantation

Combined Liver-kidney Transplantation

Combined Liver-kidney Transplantation
Author : Martin Erlichman
Publisher : Unknown
Release Date : 1995
Category : Kidneys
Total pages :7
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Combined Liver Kidney Transplantation: a Single Centre Experience

Combined Liver Kidney Transplantation: a Single Centre Experience
Author : Samuel Turner
Publisher : Unknown
Release Date : 2017
Category :
Total pages :129
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Introduction: Combined liver kidney transplantation (CLKT) can improve liver allograft and overall survival in patients with end stage liver and renal failure. We aimed to analyse our experience and confirm that there is still a role for this procedure in modern transplantation.Methods:A retrospective analysis of patient notes and electronic records was performed. All CLKT performed at a single centre were included.Results:A total of 31 CLKT were performed in 30 patients at a single centre over a 26 year period. In 15 the indication was a metabolic disease, principally methylmalonic acidaemia and primary oxalosis; of the remainder 6 had alcoholic liver disease and 3 had hepatitis C with associated renal conditions, 2 had polycystic disease and 3 were re-transplants. Mean donor age was 37 years (7-71); when separated into subgroups prior to 2010 and from 2010 onwards, the later group were significantly older (43 vs 34 years). 2 donors were DCD, both performed in 2013. Mean liver cold ischaemia time was 582 minutes and mean kidney CIT was 799 minutes. 21 patients remain alive, 19 patients have functioning CLKT liver allografts, and 17 patients have functioning CLKT renal allografts after a median follow-up of 57 months (7 days-25 years). Causes of death were multiple organ failure (6), septicaemia (1) and mesenteric infarction (1). Causes of liver allograft failure leading to re-transplant were vascular thrombosis (2), primary non-function (1) and ductopenic rejection (1). Causes of renal allograft failure were primary non-function (1), DWFG (7), cellular rejection (2), sepsis (2) and cessation of immunosuppression (1). There were 3 renal delayed graft functions; 2 of these and the only PNF were in the older post 2010 subgroup. Discussion:CLKT is an appropriate and safe treatment for select group patients. Ischaemia times, complications and outcomes are similar to transplanting either organ alone. The recent increase in renal delayed graft function reflects an increasing reliance on older donors. Liver and kidney teams need to offer a combined approach to management of these patients in order to achieve the best outcomes.

Combined Liver Kidney Transplantation

Combined Liver Kidney Transplantation
Author : Martin Erlichman,Thomas V. Holohan
Publisher : Unknown
Release Date : 1995
Category :
Total pages :7
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Impact on the Hepatic Flow Velocity After Pediatric Combined Liver-kidney Transplantation Compared to Isolated Pediatric Liver Transplantation

Impact on the Hepatic Flow Velocity After Pediatric Combined Liver-kidney Transplantation Compared to Isolated Pediatric Liver Transplantation
Author : Jessica Verena Hellenkemper
Publisher : Unknown
Release Date : 2020
Category :
Total pages :129
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Liver Transplantation: Update of Concepts and Practice, An Issue of Clinics in Liver Disease,

Liver Transplantation: Update of Concepts and Practice, An Issue of Clinics in Liver Disease,
Author : Kalyan Ram Bhamidimarri
Publisher : Elsevier Health Sciences
Release Date : 2014-09-08
Category : Medical
Total pages :265
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A number of areas within liver transplant continue to evolve as the field matures. The advent of increasingly effective therapy for HCV will dramatically reduce the burden of recurrent disease within the next few years. HCC has become a well established indication for transplant with an increasing emphasis on adjuvant therapies to reduce the risk of tumor recurrence and potentially expand the acceptable limits of tumor burden amenable to liver transplant. Renal dysfunction is a frequent complication of decompensated liver disease and an important predictor of diminished post-transplant survival. Newer approached to therapy including terlipressin will reduce the impact of renal dysfunction in liver transplant candidates and potentially reduce the need for combined liver/kidney transplant. Increasing attention is being paid to role of comorbidities such as diabetes and hypertension on longterm recipient outcomes. Retransplantation remains a challenge with a variety of models available ot redict outcomes. Cardiac disease pretransplant is an area of active investigation with newer entities such as cirrhotic cardiomyopathy a growing concern. These are some of many evolving issues in liver transplant which will be addressed to update our readers and which in turn will enhance the care of patients with liver disease.

Understanding the Complexities of Kidney Transplantation

Understanding the Complexities of Kidney Transplantation
Author : Jorge Ortiz,Jason Andre
Publisher : IntechOpen
Release Date : 2011-09-06
Category : Medical
Total pages :576
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Kidney transplantation is a complex field that incorporates several different specialties to manage the transplant patient. This book was created because of the importance of kidney transplantation. This volume focuses on the complexities of the transplant patient. In particular, there is a focus on the comorbidities and special considerations for a transplant patient and how they affect kidney transplant outcomes. Contributors to this book are from all over the world and are experts in their individual fields. They were all individually approached to add a chapter to this book and with their efforts this book was formed. Understanding the Complexities of Kidney Transplantation gives the reader an excellent foundation to build upon to truly understand kidney transplantation.

Liver Transplantation: Update of Concepts and Practice, an Issue of Clinics in Liver Disease

Liver Transplantation: Update of Concepts and Practice, an Issue of Clinics in Liver Disease
Author : Kalyan Ram Bhamidimarri
Publisher : Elsevier
Release Date : 2014-08-28
Category : Medical
Total pages :129
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A number of areas within liver transplant continue to evolve as the field matures. The advent of increasingly effective therapy for HCV will dramatically reduce the burden of recurrent disease within the next few years. HCC has become a well established indication for transplant with an increasing emphasis on adjuvant therapies to reduce the risk of tumor recurrence and potentially expand the acceptable limits of tumor burden amenable to liver transplant. Renal dysfunction is a frequent complication of decompensated liver disease and an important predictor of diminished post-transplant survival. Newer approached to therapy including terlipressin will reduce the impact of renal dysfunction in liver transplant candidates and potentially reduce the need for combined liver/kidney transplant. Increasing attention is being paid to role of comorbidities such as diabetes and hypertension on longterm recipient outcomes. Retransplantation remains a challenge with a variety of models available ot redict outcomes. Cardiac disease pretransplant is an area of active investigation with newer entities such as cirrhotic cardiomyopathy a growing concern. These are some of many evolving issues in liver transplant which will be addressed to update our readers and which in turn will enhance the care of patients with liver disease.

Combined Liver-kidney Transplantation

Combined Liver-kidney Transplantation
Author : Martin Erlichman
Publisher : Unknown
Release Date : 1995
Category : Kidneys
Total pages :7
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Atlas of Liver, Pancreas, and Kidney Transplantation

Atlas of Liver, Pancreas, and Kidney Transplantation
Author : B. Kremer,Christoph E. Broelsch,D. Henne-Bruns,Gauke Kootstra
Publisher : Thieme
Release Date : 1994
Category : Medical
Total pages :161
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This is the first surgical atlas demonstrating preparatory steps by photographs! These operations are shown: organ donation (liver-kidney, liver-pancreas-kidney, kidney), orthotopic liver transplantation, segmental liver transplantation (preparation of a left liver graft, preparation of a left lateral liver graft, split liver preparation), living-related liver donation, heterotopic liver transplantation, pancreas transplantation, and kidney transplantation. The photographs explain each important preparatory step, as well as potential variants and possible pitfalls. For each operation a checklist for preoperative preparation and postoperative care is included to allow a quick survey of the pre- and postoperative periods. The book clearly explains all details of surgical technique and anatomy. The authors have restricted the text to a minimum so that the reader can gain a clearer understanding of the anatomy as each procedure develops... With the increasing number of organ transplantations ... more and more general surgeons have to be involved in organ donation... This atlas is recommended for all transplant surgeons and should be available to all general units where organ donation occurs. -Transplant International

Abdominal Solid Organ Transplantation

Abdominal Solid Organ Transplantation
Author : Antonio Daniele Pinna,Giorgio Ercolani
Publisher : Springer
Release Date : 2015-08-20
Category : Medical
Total pages :453
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This book is a comprehensive and innovative guide to abdominal solid organ transplantation (SOT). It explains the main immunological problems involved in abdominal SOT, reviews indications for liver, kidney, and small bowel transplantation, and provides detailed descriptions of techniques for procurement and transplantation. In addition, technical, infectious, and immunological complications and their treatment are fully described. Special attention is devoted to the indications for and outcomes of combined kidney-liver and kidney-pancreas transplantation. Clear advice is provided on donor selection and donor safety, and the book concludes by examining medical disease and the risk of solid and hematologic malignancies after transplantation. Abdominal SOT has become the treatment of choice for various end-stage chronic diseases of the liver, kidney, and foregut. Improved knowledge of immunology, the introduction of new immunosuppressive agents, and advances in surgical techniques have all increased the number of potential candidates and led to better outcomes. It is therefore unsurprising that more and more surgeons, physicians, and scientists, as well as students and nurses, are becoming interested in abdominal SOT. This book will provide all practitioners with an excellent, up-to-date summary of knowledge in the field.

P148 Simultaneous Liver-Kidney Transplantation: A Single Centre Experience

P148 Simultaneous Liver-Kidney Transplantation: A Single Centre Experience
Author : Anonim
Publisher : Unknown
Release Date : 2017
Category :
Total pages :129
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IntroductionPost-liver transplant outcomes are significantly influenced by renal impairment. Simultaneous Liver Kidney transplantation (SLKT) was introduced as a means to decrease morbidity and mortality. There is published data from the United States regarding outcomes which is lacking for the UK population.We looked at 10-year liver and kidney outcome data from our large UK transplant centre and compared this to national data.MethodsA retrospective analysis was performed of SLKT recipients in our centre over 10 years (01/04/08-31/03/18) focusing on clinical outcomes compared to the national data from the UK Transplant Registry. Inclusion criteria were aged 17 or over at time of transplant; received both liver and kidney grafts and an elective procedure. Primary clinical outcomes included patient survival, graft survival, eGFR and complications. tResults19 patients were included (9 males and 10 females; median age 54 years) from our centre compared to 97 patients nationally in the period. SLKT indications were varied but similar across the groups (p 0.64). There is no difference in median time from listing to transplant in our centre compared to others (275 days (IQR 77-453) v 269 days (IQR 74-597)). Of patients receiving first grafts there was no difference in survival or graft status. The cause of death in three patients at our centre was infection. DiscussionSLK transplantation is a complex operation. Our centre has excellent outcomes comparable to national and published U.S. data.

Liver Transplantation, an Issue of Clinics in Liver Disease, Volume 25-1

Liver Transplantation, an Issue of Clinics in Liver Disease, Volume 25-1
Author : David Goldberg
Publisher : Elsevier
Release Date : 2021-02-28
Category : Medical
Total pages :240
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With collaboration from Consulting Editor, Dr. Norman Gitlin Dr. Goldberg has assembled a state-of-the-art issue devoted to management of liver transplant patients. Expert authors have contributed current clinical reviews that covers the breadth of the pre- and post-surgical journey. Articles are specifically devoted to the following topics: Obesity management of liver transplant waitlist candidates and recipients; Expanding the limits of liver transplantation for hepatocellular carcinoma: Is there a limit; Frailty and sarcopenia in patients pre- and post-liver transplant; Achieving tolerance in liver transplantation: Where are we now and what does the future hold; Expanding role of donation after cardiac death donors; Optimizing selection of patients for simultaneous liver-kidney transplant; Keeping the patient with end-stage liver disease alive while awaiting transplant: Management of complications of portal hypertension; Expanding donor selection and recipient indications for living donor liver transplantation; The changing liver transplant recipient: From hepatitis C to NASH and alcohol; Cardiovascular risk stratification in liver transplant candidates; The role of machine perfusion in liver transplantation: Warm, Cold, or does it not matter; Paradigm shift in utilization of livers from hepatitis C-viremic donors into HCV-negative patients; Transplantation of elderly patients: Is there an upper age cutoff; Transplantation for acute alcoholic hepatitis: Controversies and early successes. Hepatologists will come away with the information they need to improve outcomes in liver transplant patients.

Pediatric Liver Transplantation

Pediatric Liver Transplantation
Author : Nedim Hadžić
Publisher : Unknown
Release Date : 2021
Category : Liver
Total pages :470
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Understanding the Complexities of Kidney Transplantation

Understanding the Complexities of Kidney Transplantation
Author : Jorge Ortiz,Jason Andre
Publisher : BoD – Books on Demand
Release Date : 2011-09-06
Category : Medical
Total pages :576
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Kidney transplantation is a complex field that incorporates several different specialties to manage the transplant patient. This book was created because of the importance of kidney transplantation. This volume focuses on the complexities of the transplant patient. In particular, there is a focus on the comorbidities and special considerations for a transplant patient and how they affect kidney transplant outcomes. Contributors to this book are from all over the world and are experts in their individual fields. They were all individually approached to add a chapter to this book and with their efforts this book was formed. Understanding the Complexities of Kidney Transplantation gives the reader an excellent foundation to build upon to truly understand kidney transplantation.

Liver Transplantation, An Issue of Clinics in Liver Disease, E-Book

Liver Transplantation, An Issue of Clinics in Liver Disease, E-Book
Author : David Goldberg
Publisher : Elsevier Health Sciences
Release Date : 2021-04-11
Category : Medical
Total pages :240
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With collaboration from Consulting Editor, Dr. Norman Gitlin Dr. Goldberg has assembled a state-of-the-art issue devoted to management of liver transplant patients. Expert authors have contributed current clinical reviews that covers the breadth of the pre- and post-surgical journey. Articles are specifically devoted to the following topics: Obesity management of liver transplant waitlist candidates and recipients; Expanding the limits of liver transplantation for hepatocellular carcinoma: Is there a limit; Frailty and sarcopenia in patients pre- and post-liver transplant; Achieving tolerance in liver transplantation: Where are we now and what does the future hold; Expanding role of donation after cardiac death donors; Optimizing selection of patients for simultaneous liver-kidney transplant; Keeping the patient with end-stage liver disease alive while awaiting transplant: Management of complications of portal hypertension; Expanding donor selection and recipient indications for living donor liver transplantation; The changing liver transplant recipient: From hepatitis C to NASH and alcohol; Cardiovascular risk stratification in liver transplant candidates; The role of machine perfusion in liver transplantation: Warm, Cold, or does it not matter; Paradigm shift in utilization of livers from hepatitis C-viremic donors into HCV-negative patients; Transplantation of elderly patients: Is there an upper age cutoff; Transplantation for acute alcoholic hepatitis: Controversies and early successes. Hepatologists will come away with the information they need to improve outcomes in liver transplant patients.